Application & Information Packet. Bachelor of Science Degree in Dental Hygiene

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1 Application & Information Packet Bachelor of Science Degree in Dental Hygiene

2 Application for Admission Bachelor of Science Degree in Dental Hygiene 1. Complete this application. (Type or print legibly) 2. If classes are in progress at another institution, please attach a schedule of those classes. Mail to: University of Arkansas - Fort Smith College of Health Sciences Advising Coordinator P O Box 3649 Fort Smith, Arkansas Name Last First Middle Maiden Cell Phone# Home Phone# Work Phone# Address Mailing Address Student ID# or SSN Street Number or P O Box City State Zip Date of Birth If this is a request for reentry, please supply the following information: 1. Date you left program, grade, and reason for leaving: 2. Work experience since leaving program: *Have you ever been convicted of a misdemeanor Yes No and/or felony? Yes No *Do you have any pending cases? Yes No List all Colleges, Universities, or Other Schools Attended: Institution Dates Attended Hrs. Attempted GPA * I understand that I shall not be considered for the program until I have been admitted to UAFS and submitted all required documentation. I understand that any notification of admission will be contingent upon a background check and drug screen. Further, I understand acceptance is pending successful completion off all prerequisite courses. I understand and have read the Dental Hygiene Program Statement. I, the below signed individual, hereby declare that to the best of my knowledge and ability, the information in this application is true and factual. I understand that false, misleading, or incomplete statements could lead to my subsequent dismissal or rejection as a dental hygiene student. Student Signature Date September 2014

3 Bachelor of Science in Dental Hygiene PROGRAM STATEMENT The Dental Hygiene Program is a part of the College of Health Sciences (CHS) at the University of Arkansas - Fort Smith (UAFS). The Dental Hygiene Program is accredited by the American Dental Association s Commission on Dental Accreditation (CODA). Students desiring admission to the Dental Hygiene Program need to be aware of and understand the following information related to admission, progression, and graduation. Admission Criteria ADMISSION To be considered for admission into the program, students must meet the following criteria: 1) Complete university admission requirements to include submission of official transcripts from all colleges/universities attended 2) Have a minimum 2.50 cumulative grade point average (GPA) for all college course work (including transfer work and excluding developmental courses) and be in good academic standing 3) Complete required prerequisite courses for the Dental Hygiene Program with a minimum of C or higher in each course prior to the application deadline. 4) Submit Dental Office Observation Verification Form (verification forms may be used for two years after the dates of observation) 5) Students may not attempt any course more than twice and be eligible for admission into the Dental Hygiene Program NOTE: The application process for the Dental Hygiene Program requires a criminal background check. Licensure in Arkansas also requires a state and federal criminal background check. Application Admission into the Dental Hygiene Program is competitive. Students who meet the minimum criteria identified above are eligible to submit an application for admission. 1) Application Deadline May 20 for fall entry into the program 2) Eligible students must submit an application for admission to the Advising Coordinator for the College of Health Sciences prior to the application deadline Selection Selection is based on the following weighted system: Quality Points earned for prerequisites on the Dental Hygiene degree plan (college credit through CLEP or AP for a course will not be used for ranking purposes.) 40% Cumulative GPA 30% Interview 30% NOTE: In the event that applicants have identical ranking scores, priority will be given to the student with the highest cumulative GPA. The top applicants will be offered positions for the available seats in the Dental Hygiene Program. Meeting the minimum criteria for admission or taking courses on the Dental Hygiene degree plan does not guarantee admission into the program. Students not admitted must reapply to be considered for another semester. Students identified as alternates are not guaranteed a position in the next class.

4 Additional Documentation Students admitted into the Dental Hygiene Program must submit the following additional documentation prior to fall entry: Health Care Provider Statement/Medical Release form Proof of immunizations CPR Certification: American Heart Association Basic Life Support for Healthcare Providers (BLS) Criminal Background Check Drug Screen PROGRESSION Science courses taken more than five years prior to entering the program will be evaluated on an individual basis by the Executive Director of the Dental Hygiene Program and the Dean of the College of Health Sciences. See your advisor for more information and to request a science course evaluation. The Dental Hygiene Program is competency based. To continue in the program, a student must maintain a 75 percent average in clinical performance and 75 percent through each didactic course. A student dropped for academic or any other reason may apply for readmission if in compliance with the UAFS Student Academic Progress Policy as outlined in the course catalog. A student who discontinues the dental hygiene sequence for academic or any other reason must petition for readmission to the Dental Hygiene Program. The readmission requirements are found in the Dental Hygiene Program Clinical Policies and Procedure Manual (see the Readmission Criteria & Procedure Policy). The student is not guaranteed a position for readmission. A student who is readmitted is accountable for the degree requirements in effect at the time of readmission. Student reentering the program are required to begin the program of study at the beginning. A grade of C or better is required in ALL courses applicable to the Bachelor of Science degree in Dental Hygiene. GRADUATION To earn a Dental Hygiene degree, a student must earn a grade of C or better in all required courses applicable to the Dental Hygiene Program; earn a minimum of 2.00 cumulative GPA in all course work required for the major; and earn a minimum of a 2.00 cumulative GPA on all work attempted at the University. The student must meet with the Advising Coordinator to complete the graduation application one year prior to intended graduation. After being granted the Bachelor of Science degree in Dental Hygiene, the student is eligible to sit for the National Dental Hygiene Board Examination to become a registered dental hygienist. NOTE: RDH licensure requires a state and federal criminal background check. A person shall not be eligible to receive or hold a license to practice dentistry or another health care profession issued by the Arkansas State Board of Dental Examiners if the person has pleaded guilty or nolo contendere or has been found guilty of either an infamous crime that would impact his or her ability to practice dentistry or oral hygiene in the State of Arkansas or a felony, regardless of whether the conviction has been sealed, expunged, or pardoned (see Addendum). I have read and understand this program statement. Student Signature Date Note: Information is subject to change. Please check for current information before applying to the program. September 2014

5 ADDENDUM The Dental Practice Act/Dental Corporation Act/Rules & Regulations Section Criminal Background Check License eligibility Waiver Background records sealed. Subchapter 8 CRIMINAL BACKGROUND CHECKS CRIMINAL BACKGROUND CHECK. (a) (1) Beginning July 1, 2011, every person applying for a license or renewal of a license issued by the Arkansas State Board of Dental Examiners shall provide written authorization to the board to allow the Department of Arkansas State Police to release the results of state and federal criminal history background check reports to the board. (2) The applicant shall pay the fees associated with the background checks. (b) (1) The Identification Bureau of the Department of Arkansas State Police shall perform the state criminal background check. (2) The federal background check shall be requested from the Federal Bureau of Investigation and shall include the taking of fingerprints of the applicant. (c) Upon completion of the cranial background checks, the Identification Bureau shall forward to the board all releasable information obtained concerning the applicant. (d) At the conclusion of any background check under this section, the Identification Bureau shall retain the fingerprinting card of the applicant until notified by the board that the person is no longer licensed LICENSE ELIGIBILITY. A person shall not be eligible to receive or hold a license to practice dentistry or another health care profession issued by the Arkansas State Boar of Dental Examiners if the person has pleaded guilty or nolo contendere or has been found guilty of either an infamous crime that would impact his or her ability to practice dentistry or oral hygiene in the State of Arkansas or a felony, regardless of whether the conviction has been sealed, expunged, or pardoned WAIVER. (a) Section may be waived by the Arkansas State Board of Dental Examiners upon the request of: (1) An affected applicant for licensure; or (2) The person holding the license subject to revocation. (b) The board may consider the following circumstances when considering a waiver, including without limitation: (1) The age at which the crime was committed; (2) The circumstances surrounding the crime; (3) The length of time since the crime; (4) Subsequent work history; (5) Employment references; (6) Character references; and (7) Other evidence demonstrating that the applicant does not pose a threat to the health or safety of the public BACKGROUND RECORDS SEALED. (a) A background record received by the Arkansas State Board of Dental Examiners from the Identification Bureau of the Department of Arkansas State Police shall not be available for examination except by: (1) An affected applicant for licensure or his or her authorized representative; or (2) A person whose license is subject to revocation or his or her authorized representative. (b) A record, file, or document shall not be removed from the custody of the department. History. Act 47, The Dental Practice Act/Dental Corporation Act/Rules & Regulations (updated October 2013) can be viewed, in its entirety, at

6 DENTAL HYGIENE PROGRAM Frequently Asked Questions Q. How do I get into the Dental Hygiene Program? A. Applications are accepted in each spring semester for entrance into the program. Applications and all supporting documentation must be submitted prior to the application deadline. Q. When may I enter the Dental Hygiene Program? A. Each year one class is admitted in May that begins in the fall semester. Q. Are there any prerequisite courses to be taken before entering the program? A. Yes. Some of the courses are general education courses required for a bachelors degree in Arkansas. A good foundation in all prescribed courses is essential for success in the Dental Hygiene Program. See the degree plan for the prerequisite courses. Q. How are applicants selected? A. Applicants who have completed the application process and meet the admission criteria will be invited to interview if their accrued points in the selection system are high enough. The selection process is based on a weighted scoring system using the quality points earned for prescribed coursework (40%), cumulative gpa (30%), and personal interview (30%). After all of the top ranking candidates have been interviewed, they will be ranked from highest to lowest according to their scores. Admission is based on the highest order of rank. Q. How much dental office observation should I try to get? A. Fifty hours is required which includes ten hours with a dentist and forty hours with two dental hygienists from two different dental offices. Dental Office Observation Verification forms must be submitted prior to the application deadline. Q. What are the costs of the program? A. Estimated cost for the school year is $33, 613 for in-state residents (includes AR, OK, MO, TN, MS, LA, TX) and $62,533 for out-of-state residents. Costs may change without notice, other fees may apply, and additional costs may be incurred throughout the program s entirety. See the Dental Hygiene web page for more details. College of Health Sciences Advising Coordinator (479) September 2014

7 Bachelor of Science in Dental Hygiene Program Admission, Selection, and Progression Chart PRE-ADMISSION Students are admitted to UAFS through the Office of Admissions and School Relations Students are advised by a faculty advisor in the College of Health Sciences ADMISSION REQUIREMENTS 1) Complete university admission requirements to include submission of official transcripts from all colleges/universities attended 2) Have a minimum 2.50 cumulative grade point average (GPA) for all college course work (including transfer work and excluding developmental courses) and be in good academic standing 3) Complete required prerequisite courses for the Dental Hygiene Program with a minimum of C or higher in each course prior to the application deadline. 4) Submit Dental Office Observation Verification Form (verification forms may be used for two years after the dates of observation) 5) Students may not attempt any course more than twice and be eligible for admission into the Dental Hygiene Program ESTIMATED COST OF ATTENDANCE In State $33, 613 Out-of-State $62, 533 NOTE: The application process for the Dental Hygiene Program requires a criminal background check. Licensure in Arkansas also requires a state and federal criminal background check. PREREQUISITE COURSES ENGL 1203 Composition I MATH 1403 College Algebra SPCH 1203 Intro to Speech Communication PSYC 1163 General Psychology CHEM 1303/1301 Chemical Principles/Lab* ENGL 1213 Composition II ITA Requirement 2 hrs (See Degree Plan notes) BIOL 1463/1461 Microbiology and Immunology/Lab* RHET 3203 Textual Research Methods SPCH 2203 Foundation of Communication SOCI 2753 Introduction to Sociology PSYC 2963 Life Span Developmental Psychology BIOL 2203/2201 Human Anatomy/Lab* BIOL 2213/2211 Human Physiology/Lab* SPAN 1304 Beginning Spanish I STAT 2503 Probability & Statistics I *Science courses taken more than five years prior to entering the program will be evaluated on an individual basis by the Executive Director and the Dean. See your advisor for more information and to request a science course evaluation. ACCEPTANCE The top applicants will be offered positions for the available seats in the BSDH program Upon acceptance into the program, students must submit additional documentation: 1) Health Care Provider Statement/Medical Release Form 2) Proof of current immunizations 3) CPR certification: American Heart Association Basic Life Support for Healthcare Providers (BLS) 4) Criminal background check 5) Drug Screen APPLICATION PROCESS Students who meet the admission criteria are eligible to submit an application for admission. 1) Application Deadline May 20 for fall entry into the program 2) Eligible students must submit an application for admission to the Advising Coordinator for the College of Health Sciences prior to the application deadline Selection is based on the following weighted system: Quality Points earned for courses on BSDH degree plan (college credit through CLEP or AP for a course will not be used for ranking purposes.) - 40% Cumulative GPA 30% Interview 30% LICENSURE After being granted the Bachelor of Science degree in Dental Hygiene, the student is eligible to sit for the National Dental Hygiene Board Examination to become a registered dental hygienist. PROGRESSION To continue in the program, a student must maintain satisfactory clinical performance and a 75% average through each didactic course A student dropped for academic or any other reason may apply for readmission if in compliance with the UAFS Student Academic Progress Policy. A student who discontinues the sequence for academic or any other reason must petition for readmission to the Dental Hygiene program. The student is not guaranteed a position for readmission. A student who is readmitted is accountable for the degree requirements in effect at the time of readmission. A grade of C or better is required in all courses applicable to the BS in Dental Hygiene DENTAL HYGIENE COURSES must be taken in the following sequence: FALL SEMESTER: DHYG 2111 Dental Anatomy and Occlusion DHYG 2313 Radiology DHYG 2432 Head and Neck Anatomy DHYG 3102 Pre-Clinical Dental Hygiene DHYG 3103 Pre-Clinical Dental Hygiene Theory DHYG 3412 Oral Embryology and Histology HLTH 4103 Research in Health Sciences SPRING SEMESTER: DHYG 3113 Clinic I Theory DHYG 3212 Periodontology I DHYG 3213 Dental Hygiene Clinic I DHYG 3443 Pharmacology DHYG 3453 General & Oral Pathology FALL SEMESTER: DHYG 4122 Clinic II Theory DHYC 4142 Advanced Dental Hygiene Theory for Special Patients DHYC 4224 Dental Hygiene Clinic II DHYG 4311 Periodontology II DHYG 4372 Dental Nutrition DHYG 4463 Dental Materials DHYG 4512 Local Anesthesia and Nitrous Oxide SPRING SEMESTER: DHYG 4132 Clinic Theory III DHYG 4234 Dental Hygiene Clinic III DHYG 4522 Ethics and Practice Management DHYG 4533 Community Dentistry & Dental Health Education DHYG 4542 Public Health Dentistry GRADUATION A Student must earn a grade of C or better in all required courses applicable to the Dental Hygiene Program; earn a minimum of 2.00 cumulative GPA in all course work required for the major; and earn a minimum of a 2.00 cumulative GPA on all work attempted at the University. See the Advising Coordinator to submit an application for graduation one year prior to intended graduation Updated 09/2014

8 DENTAL OFFICE EXPERIENCE VERIFICATION FORM One of the criteria for applying to the UAFS Dental Hygiene Program is dental office experience. We feel that it is important for the applicant to be familiar with the dental office environment and the functions of the dental team. 50 hours of observation is required; 40 hours must be with 2 dental hygienists from 2 different dental offices (no more than 25 hours observing a single hygienist) and 10 hours of observation with a dentist. If you have had an applicant observe/work in your office, please complete the following information to verify the experience for their file. APPLICANT NAME: DENTAL OFFICE/ADDRESS DATES HOURS - W/HYGIENIST HOURS - OTHER SIGNATURE OF DENTIST/HYGIENIST TOTALS THIS FORM IS NOT VALID IF RETURNED BY THE APPLICANT; it must be postmarked before May 20 th. MAIL FORM DIRECTLY TO: University of Arkansas - Fort Smith College of Health Sciences Advising Coordinator 5210 Grand Ave., P.O. Box 3649 Fort Smith, AR /2014

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